State of Illinois
90th General Assembly
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90_HB3382

      New Act
      5 ILCS 80/4.19 new
          Creates  the  Orthotics,  Prosthetics,   and   Pedorthics
      Practice  Act.    Provides  for  the licensure of orthotists,
      pedorthists, and prosthetists.  Amends the Regulatory  Agency
      Sunset   Act   to  repeal  the  Orthotics,  Prosthetics,  and
      Pedorthics  Practice  Act  on  January  1,  2009.   Effective
      January 1, 1999.
                                                     LRB9010628LDdv
                                               LRB9010628LDdv
 1        AN  ACT  to  create  the  Orthotics,   Prosthetics,   and
 2    Pedorthics Practice Act.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 1. Short title.  This Act may  be  cited  as  the
 6    Orthotics, Prosthetics, and Pedorthics Practice Act.
 7        Section  5.  Declaration of public policy.   The practice
 8    of orthotics and prosthetics in the State of Illinois  is  an
 9    allied  health  profession recognized by the American Medical
10    Association, with educational standards  established  by  the
11    Commission   on  Accreditation  of  Allied  Health  Education
12    Programs.    The practice  of  pedorthics  in  the  State  of
13    Illinois  is  an  allied  health profession recognized by the
14    American Academy of Orthopaedic  Surgeons,  with  educational
15    standards  established  by  the  Board  for  Certification in
16    Pedorthics.  The  increasing  population   of   elderly   and
17    physically   challenged   individuals   who   need  orthotic,
18    prosthetic,  and  pedorthic  services   requires   that   the
19    orthotic,  prosthetic, and pedorthic professions be regulated
20    to ensure the provision of high-quality services and devices.
21    The people of Illinois deserve the best care  available,  and
22    will  benefit  from  the  assurance  of  initial  and ongoing
23    professional competence of the orthotists, prosthetists,  and
24    pedorthists  practicing  in  this  State.   The  practice  of
25    orthotics,  prosthetics, and pedorthics serves to improve and
26    enhance  the  lives  of  individuals  with  disabilities   by
27    enabling  them  to  resume productive lives following serious
28    illness,  injury,  or  trauma.   Unregulated  dispensing   of
29    orthotic,  prosthetic, and pedorthic care does not adequately
30    meet the needs or serve the  interests  of  the  public.   In
31    keeping  with  State  requirements  imposed on similar health
                            -2-                LRB9010628LDdv
 1    disciplines,  licensure  of  the  orthotic,  prosthetic,  and
 2    pedorthic professions will help ensure the health and  safety
 3    of  consumers, as well as maximize their functional abilities
 4    and  productivity  levels.   This  Act  shall  be   liberally
 5    construed to best carry out these subjects and purposes.
 6        Section 10.  Definitions.  As used in this Act:
 7        "Assistant"  means  a  person  who  assists an orthotist,
 8    prosthetist,  or  prosthetist/orthotist  with  patient   care
 9    services  and fabrication of orthoses or prostheses under the
10    supervision of a licensed orthotist or prosthetist.
11        "Board" means the Board of  Orthotics,  Prosthetics,  and
12    Pedorthics.
13        "Custom" means that an orthosis, prosthesis, or pedorthic
14    device  is designed, fabricated, and aligned specifically for
15    one person in accordance with sound biomechanical principles.
16        "Custom fitted"  means  that  a  prefabricated  orthosis,
17    prosthesis,  or  pedorthic  device  is  modified  and aligned
18    specifically  for  one  person  in  accordance   with   sound
19    biomechanical principles.
20        "Department"   means   the   Department  of  Professional
21    Regulation.
22        "Director" means the Director of Professional Regulation.
23        "Facility" means the business  location  where  orthotic,
24    prosthetic, or pedorthic care is provided and, in the case of
25    an orthotic/prosthetic facility, has the appropriate clinical
26    and  laboratory  space and equipment to provide comprehensive
27    orthotic or prosthetic care and, in the case of  a  pedorthic
28    facility, has the appropriate clinical space and equipment to
29    provide  pedorthic care.   Licensed orthotists, prosthetists,
30    and pedorthists must be available to either provide  care  or
31    supervise the provision of care by registered staff.
32        "Licensed  orthotist"  means a person licensed under this
33    Act to practice  orthotics  and  who  represents  himself  or
                            -3-                LRB9010628LDdv
 1    herself  to  the  public  by title or description of services
 2    that includes the term "orthotic", "orthotist", "brace", or a
 3    similar title or description of services.
 4        "Licensed pedorthist" means a person licensed under  this
 5    Act  to  practice  pedorthics  and  who represents himself or
 6    herself to the public by the title or description of services
 7    that include the term "pedorthic", "pedorthist", or a similar
 8    title or description of services.
 9        "Licensed physician" means a person  licensed  under  the
10    Medical  Practice  Act of 1987 or a person licensed under the
11    Podiatric Medical Practice Act of 1987.
12        "Licensed prosthetist" means a person licensed under this
13    Act to practice prosthetics and  who  represents  himself  or
14    herself  to  the  public  by title or description of services
15    that  includes   the   term   "prosthetic",    "prosthetist",
16    "artificial  limb",  or  a  similar  title  or description of
17    services.
18        "Orthosis" means  a  custom-fabricated  or  custom-fitted
19    brace   or   support   designed  to  provide  for  alignment,
20    correction, or prevention of neuromuscular or musculoskeletal
21    dysfunction, disease, injury, or deformity.  "Orthosis"  does
22    not   include  fabric  or  elastic  supports,  corsets,  arch
23    supports, low-temperature plastic splints,  trusses,  elastic
24    hoses,   canes,   crutches,  soft  cervical  collars,  dental
25    appliances, or other similar devices  carried  in  stock  and
26    sold  as "over-the-counter" items by a drug store, department
27    store, corset shop, or surgical supply facility.
28        "Orthotic  and  Prosthetic  Education  Program"  means  a
29    course  of  instruction  accredited  by  the  Commission   on
30    Accreditation of Allied Health Education Programs, consisting
31    of  (i)  a  basic  curriculum of college level instruction in
32    math, physics, biology, chemistry, and psychology and (ii)  a
33    specific   curriculum  in  orthotic  or  prosthetic  courses,
34    including:   (A)   lectures   covering   pertinent   anatomy,
                            -4-                LRB9010628LDdv
 1    biomechanics, pathomechanics, prosthetic-orthotic  components
 2    and   materials,   training   and   functional  capabilities,
 3    prosthetic or orthotic performance  evaluation,  prescription
 4    considerations, etiology of amputations and disease processes
 5    necessitating   prosthetic   or  orthotic  use,  and  medical
 6    management; (B)  subject  matter  related  to  pediatric  and
 7    geriatric   problems;   (C)   instruction   in   acute   care
 8    techniques,  such  as  immediate  and   early   post-surgical
 9    prosthetics,  fracture bracing, and halo cast techniques; and
10    (D)  lectures,  demonstrations,  and  laboratory  experiences
11    related to the entire process of measuring, casting, fitting,
12    fabricating, aligning, and completing prostheses or orthoses.
13        "Orthotic and prosthetic scope of practice" means a  list
14    of  tasks,  with  relative  weight  given  to such factors as
15    importance,   criticality,   and    frequency,    based    on
16    internationally accepted standards of orthotic and prosthetic
17    care  as outlined by the International Society of Prosthetics
18    and  Orthotics'  professional  profile  for  Category  I  and
19    Category III orthotic and prosthetic personnel.
20        "Orthotics" means the science and practice of evaluating,
21    measuring,  designing,  fabricating,   assembling,   fitting,
22    adjusting,  or  servicing  an  orthosis under an order from a
23    licensed  physician,  chiropractor,  or  podiatrist  for  the
24    correction or alleviation of neuromuscular or musculoskeletal
25    dysfunction, disease, injury, or deformity.
26        "Orthotist"  means  a  person  who   measures,   designs,
27    fabricates,  fits,  or  services  orthoses and assists in the
28    formulation of the prescription of orthoses as prescribed  by
29    a  licensed  physician  for  the  support  or  correction  of
30    disabilities   caused   by   neuro-musculoskeletal  diseases,
31    injuries, or deformities.
32        "Over-the-counter" means a prefabricated,  mass  produced
33    device  that  is  prepackaged  and  requires  no professional
34    advice  or  judgement  in  either  size  selection  or   use,
                            -5-                LRB9010628LDdv
 1    including  fabric  or elastic supports, corsets, generic arch
 2    supports, elastic hoses.
 3        "Pedorthic  device"  means  therapeutic  footwear,   foot
 4    orthoses for use at the ankle or below, and modified footwear
 5    made  for  therapeutic purposes.  "Pedorthic device" does not
 6    include    non-therapeutic    accommodative     inlays     or
 7    non-therapeutic  accommodative footwear, regardless of method
 8    of manufacture, shoe modifications made  for  non-therapeutic
 9    purposes,     unmodified,    over-the-counter    shoes,    or
10    prefabricated foot care products.
11        "Pedorthic  education  program"   means   a   course   of
12    instruction  accredited  by  the  Board  for Certification in
13    Pedothics consisting of (i) a basic curriculum of instruction
14    in  foot  related  pathology  of   diseases,   anatomy,   and
15    biomechanics  and  (ii)  a  specific  curriculum in pedorthic
16    courses, including, lectures covering shoes,  foot  orthoses,
17    and  shoe  modifications, pedorthic components and materials,
18    training and functional capabilities,  pedorthic  performance
19    evaluation,  prescription considerations, etiology of disease
20    processes necessitating use  of  pedorthic  devices,  medical
21    management, subject matter related to pediatric and geriatric
22    problems,   and   lectures   demonstrations,  and  laboratory
23    experiences related to the entire process  of  measuring  and
24    casting,   fitting,  fabricating,  aligning,  and  completing
25    pedorthic devices.
26        "Pedorthic scope of practice" means a list of tasks  with
27    relative   weight   given  to  such  factors  as  importance,
28    criticality,  and  frequency  based  on  nationally  accepted
29    standards of pedorthic care as  outlined  by  the  Board  for
30    Certification  in  Pedorthics' comprehensive analysis with an
31    empirical validation study of the profession performed by  an
32    independent testing company.
33        "Pedorthics"   means   the   science   and   practice  of
34    evaluating, measuring,  designing,  fabricating,  assembling,
                            -6-                LRB9010628LDdv
 1    fitting,  adjusting, or servicing a pedorthic device under an
 2    order from a licensed physician, chiropractor  or  podiatrist
 3    for   the  correction  or  alleviation  of  neuromuscular  or
 4    musculoskeletal dysfunction, disease, injury, or deformity.
 5        "Pedorthist"  means  a  person  who  measures,   designs,
 6    fabricates,  fits,  or services pedorthic devices and assists
 7    in the formulation of the prescription of  pedorthic  devices
 8    as  prescribed  by  a  licensed  physician for the support or
 9    correction of disabilities  caused  by  neuro-musculoskeletal
10    diseases, injuries, or deformities.
11        "Person" means a natural person.
12        "Prosthesis"  means  an artificial medical device that is
13    not surgically implanted  and  that  is  used  to  replace  a
14    missing  limb,  appendage,  or  any other external human body
15    part  including  an   artificial   limb,   hand,   or   foot.
16    "Prosthesis" does not include artificial eyes, ears, fingers,
17    or   toes,   dental  appliances,  cosmetic  devices  such  as
18    artificial breasts, eyelashes, or wigs, or other devices that
19    do not have  a  significant  impact  on  the  musculoskeletal
20    functions of the body.
21        "Prosthetics"   means   the   science   and  practice  of
22    evaluating, measuring,  designing,  fabricating,  assembling,
23    fitting,  adjusting, or servicing a prosthesis under an order
24    from a licensed physician.
25        "Prosthetist"  means  a  person  who  measures,  designs,
26    fabricates, fits, or services prostheses and assists  in  the
27    formulation  of  the prescription of prostheses as prescribed
28    by a licensed physician for the replacement of external parts
29    of the human  body  lost  due  to  amputation  or  congenital
30    deformities or absences.
31        "Prosthetist/orthotist" means a person who practices both
32    disciplines  of  prosthetics and orthotics and who represents
33    himself or herself to the public by title or  by  description
34    of services.
                            -7-                LRB9010628LDdv
 1        "Registered   prosthetist/orthotist  assistant"  means  a
 2    person registered under  this  Act  who  assists  a  licensed
 3    orthotist  or  prosthetist with patient care services and the
 4    fabrication of orthoses or prostheses.
 5        "Registered  pedorthic   technician"   means   a   person
 6    registered  under  this  Act  who  assists  a pedorthist with
 7    fabrication of pedorthic devices.
 8        "Registered  prosthetic/orthotic  technician"   means   a
 9    person  registered under this Act who assists an orthotist or
10    prosthetist with fabrication of orthoses or prostheses.
11        "Resident" means a person who has completed an  education
12    program  in either orthotics or prosthetics and is continuing
13    his or her clinical education in a  residency  accredited  by
14    the National Commission on Orthotic and Prosthetic Education
15        "Technician"  means  a  person  who assists an orthotist,
16    prosthetist,  prosthetist/orthotist,   or   pedorthist   with
17    fabrication of orthoses, prostheses, or pedorthic devices but
18    does not provide direct patient care.
19        Section 15.  Exceptions.  This Act shall not be construed
20    to prohibit:
21        (1)  a  physician  licensed  in  this  State  to practice
22    medicine in all its branches from engaging  in  the  practice
23    for which he or she is licensed;
24        (2)  a  person licensed in this State under any other Act
25    from engaging  in  the  practice  for  which  he  or  she  is
26    licensed;
27        (3) the practice of orthotics, prosthetics, or pedorthics
28    by  a person who is employed by the federal government or any
29    bureau, division, or agency of the federal  government  while
30    in the discharge of the employee's official duties;
31        (4) the practice of orthotics, prosthetics, or pedorthics
32    by   (i)  a  student  enrolled  in  a  school  of  orthotics,
33    prosthetics, or pedorthics, (ii) a resident continuing his or
                            -8-                LRB9010628LDdv
 1    her clinical education  in  a  residency  accredited  by  the
 2    National  Commission on Orthotic and Prosthetic Education, or
 3    (iii) a student in a qualified  work  experience  program  or
 4    internship in pedorthics;
 5        (5) the practice of orthotics, prosthetics, or pedorthics
 6    by  one  who  is  an  orthotist,  prosthetist,  or pedorthist
 7    licensed under the laws of another state or territory of  the
 8    United  States  or another country and has applied in writing
 9    to the Department, in a form and  substance  satisfactory  to
10    the  Department,  for a license as orthotist, prosthetist, or
11    pedorthist and who is qualified to receive the license  under
12    Section  40  until  (i)  the expiration of 6 months after the
13    filing of the written application, (ii) the withdrawal of the
14    application, or (iii) the denial of the  application  by  the
15    Department; or
16        (6)  a  person  licensed  by  this  State  as  a physical
17    therapist or occupational  therapist  from  engaging  in  the
18    practice  of  his  or her profession or applying temporary or
19    low-temperature orthotic devices.
20        Section 20.  Powers and duties of the Department.
21        (a) The Department shall exercise the powers  and  duties
22    prescribed  by  the Civil Administrative Code of Illinois for
23    the administration of licensure Acts and shall exercise other
24    powers and duties necessary for effectuating the purposes  of
25    this Act.
26        (b)  The  Department  may  adopt  rules to administer and
27    enforce this Act including, but  not  limited  to,  fees  for
28    original  licensure  and  renewal and restoration of licenses
29    and may prescribe forms to be issued to implement its  rules.
30    The   Department   shall   exercise  the  powers  and  duties
31    prescribed by this Act.  At a minimum, the rules  adopted  by
32    the  Department  shall  include  standards  and  criteria for
33    licensure and for professional conduct and  discipline.   The
                            -9-                LRB9010628LDdv
 1    Department  shall  consult  with the Board in adopting rules.
 2    Notice of proposed rulemaking shall  be  transmitted  to  the
 3    Board,  and  the Department shall review the Board's response
 4    and  any  recommendations  made  in   writing   with   proper
 5    explanation  of  deviations  from the Board's recommendations
 6    and response.
 7        (c) The Department at any time may seek the expert advice
 8    and knowledge of the Board on  any  matter  relating  to  the
 9    enforcement of this Act.
10        (d)  The Department shall issue a quarterly report to the
11    Board  of  the  status  of  all  complaints  related  to  the
12    profession and filed with the Department.
13        (e) Department may adopt rules as necessary to  establish
14    eligibility for facility registration and standards.
15        Section   25.    Board  of  Orthotics,  Prosthetics,  and
16    Pedorthics.
17        (a)  There  is  established   a   Board   of   Orthotics,
18    Prosthetics,  and Pedorthics, which shall consist of 7 voting
19    members to be appointed by the Governor.  Four members  shall
20    be  practicing licensed orthotists, licensed prosthetists, or
21    licensed pedorthists.  These members may be licensed in  more
22    than  one  discipline  and  their  appointments  must equally
23    represent all 3 disciplines. One member shall be a member  of
24    the  public  who  is  a  consumer of orthotic, prosthetic, or
25    pedorthic professional  services.   One  member  shall  be  a
26    public  member  who  is  not  licensed  under  this  Act or a
27    consumer of services licensed under  this  Act.   One  member
28    shall  be  licensed  by  the State as a doctor of medicine or
29    osteopathy specializing in orthopedic surgery or a doctor  of
30    podiatry.
31        (b)  Each  member  of  the  Board shall serve a term of 3
32    years, except that of the initial appointments to the  Board,
33    2 members shall be appointed for one year, 2 members shall be
                            -10-               LRB9010628LDdv
 1    appointed for 2 years, and 3 members shall be appointed for 3
 2    years.   Each member shall hold office and execute his or her
 3    Board   responsibilities   until   the   qualification    and
 4    appointment  of his or her successor.  No member of the Board
 5    shall serve more than 8 consecutive years or  2  full  terms,
 6    whichever is greater.
 7        (c)  Members of the Board shall receive as compensation a
 8    reasonable sum as determined by the  Director  for  each  day
 9    actually  engaged  in  the  duties of the office and shall be
10    reimbursed for reasonable expenses incurred in performing the
11    duties of the office.
12        (d) A quorum of the Board shall consist of a majority  of
13    Board members currently appointed.
14        (e)  The  Governor  may  terminate the appointment of any
15    member for cause  which,  in  the  opinion  of  the  Governor
16    reasonably  justifies  termination, which may include, but is
17    not limited  to,  a  Board  member  who  does  not  attend  2
18    consecutive meetings.
19        (f)  Membership  of  the  Board should reasonably reflect
20    representation from the geographic areas in this State.
21        Section 30.  Board; immunity; chairperson.
22        (a) Members of the Board shall be immune from suit in any
23    action  based  upon  any  disciplinary  proceeding  or  other
24    activities preformed in good faith as members of the Board.
25        (b) The Board shall annually elect a chairperson and vice
26    chairperson who shall be licensed under this Act.
27        Section 35.     Application  for  original  or  temporary
28    license.  An application for an original or temporary license
29    shall  be  made  to  the  Department  in  writing  on  a form
30    prescribed by the Department and shall be accompanied by  the
31    required  fee, which shall not be refundable.  An application
32    shall require  information  that  in  the  judgement  of  the
                            -11-               LRB9010628LDdv
 1    Department   will  enable  the  Department  to  pass  on  the
 2    qualifications of the applicant for a license.
 3        Section 40.  Qualifications for licensure  as  orthotist,
 4    prosthetist, or pedorthist.
 5        (a)  To  qualify  for  a license to practice orthotics or
 6    prosthetics, a person shall:
 7             (1) possess a baccalaureate degree from a college or
 8        university;
 9             (2) have completed the amount  of  formal  training,
10        including,  but  not  limited  to, any hours of classroom
11        education  and  clinical  practice  established  by   the
12        Commission  on  Accreditation  of Allied Health Education
13        Programs  for  an  Orthotic  and   Prosthetic   Education
14        Program;
15             (3)   complete   a   clinical   residency   in   the
16        professional  area  for  which  a  license  is  sought in
17        accordance with standards, guidelines, or procedures  for
18        residencies  inside  or outside this State established by
19        the National Commission on Orthotic Prosthetic  Education
20        or by the Board. The majority of training must be devoted
21        to services performed under the supervision of a licensed
22        practitioner  of  orthotics  or  prosthetics  or a person
23        certified  as  a  Certified  Orthotist  (CO),   Certified
24        Prosthetist  (CP),  or  Certified  Prosthetist  Orthotist
25        (CPO)   whose   certification  was  obtained  before  the
26        effective date of this Act;
27             (4)  pass   all   written,   practical,   and   oral
28        examinations  that  are  required  and  approved  by  the
29        American  Board  for  Certification  in  Prosthetics  and
30        Orthotics,  Incorporated,  or hold similar certifications
31        from other accrediting bodies with equivalent educational
32        requirements and examination standards in  orthotics  and
33        prosthetics; or
                            -12-               LRB9010628LDdv
 1             (5)  be  qualified  to  practice  in accordance with
 2        internationally  accepted  standards  of   orthotic   and
 3        prosthetic  care as outlined by the International Society
 4        of Prosthetics and Orthotics'  professional  profile  for
 5        Category I orthotic and prosthetic personnel.
 6        (b)  To  qualify  for a license to practice pedorthics, a
 7    person shall:
 8             (1) possess a high school diploma or its equivalent;
 9             (2) have completed the amount  of  formal  training,
10        including,  but  not  limited  to, any hours of classroom
11        education and clinical practice established by the  Board
12        for Certification in Pedorthics for a Pedorthic Education
13        Program;
14             (3)  complete a qualified work experience program or
15        internship  in  pedorthics   in   accordance   with   any
16        standards,  guidelines,  or procedures established by the
17        Board for Certification in Pedorthics;
18             (4) pass all  examinations  that  are  required  and
19        approved by the Board for Certification in Pedorthics, or
20        hold similar certifications from other accrediting bodies
21        with  equivalent educational requirements and examination
22        standards in pedorthics; and
23             (5) be qualified  to  practice  in  accordance  with
24        nationally   accepted  standards  of  pedorthic  care  as
25        outlined by the Board for Certification in Pedorthics.
26        (c)  The  standards  and   requirements   for   licensure
27    established by the Department shall be substantially equal to
28    or in excess of standards commonly accepted in the profession
29    of  orthotics,  prosthetics,  or  pedorthics.  The Department
30    shall adopt rules as  necessary  to  set  the  standards  and
31    requirements.
32        (d) A person may be licensed in more than one discipline.
33        Section 45.  Examination requirement.
                            -13-               LRB9010628LDdv
 1        (a)   The   Department   may  authorize  examinations  of
 2    applicants as orthotists,  prosthetists,  or  pedorthists  at
 3    times  and  places  as  it may determine.  The examination of
 4    applicants shall  be  of  a  character  to  fairly  test  the
 5    qualifications   of  the  applicant  to  practice  orthotics,
 6    prosthetics, or pedorthics.
 7        (b)   Applicants   for   examination    as    orthotists,
 8    prosthetists,  and  pedorthists  shall  be  required  to pay,
 9    either to the Department or the designated testing service, a
10    fee covering the cost of providing the examination.   Failure
11    to  appear  for  the examination on the scheduled date at the
12    time and place specified after  the  applicant's  application
13    for  examination  has  been  received and acknowledged by the
14    Department or the designated testing service shall result  in
15    the forfeiture of the examination fee.
16        (c)  If  an applicant neglects, fails, or refuses to take
17    an examination or fails to pass an examination for a  license
18    under  this  Act  within  3  years  after  filing  his or her
19    application, the application shall be denied.  All  fees  are
20    nonrefundable.   The applicant may make a new application for
21    examination accompanied by the required fee and must  furnish
22    proof  of  meeting  qualifications for licensure in effect at
23    the time of new application.
24        (d) The Department shall set by rule the  maximum  number
25    of   attempts   that  an  applicant  may  make  to  pass  the
26    examination  within  a  specified  period  of  time.      The
27    Department shall also determine any further training required
28    before a reexamination.
29        (e) The Department may employ consultants for the purpose
30    of  preparing  and conducting examinations.  An applicant for
31    an examination as an orthotist, a prosthetist, or  pedorthist
32    shall  be required to pay, either to the Department or to the
33    designated testing  service,  a  fee  covering  the  cost  of
34    providing the examination.
                            -14-               LRB9010628LDdv
 1        Section   50.   Qualifications  for  registration  as  an
 2    assistant or technician. The Department shall adopt rules  as
 3    necessary  to set standards and requirements for registration
 4    to practice orthotics and  prosthetics  as  an  assistant  or
 5    orthotics,  prosthetics, and pedorthics as a technician.  The
 6    Department may authorize examinations  of  applicants  as  an
 7    orthotic  or prosthetic assistant or an orthotic, prosthetic,
 8    or pedorthic  technician  at  times  and  places  as  it  may
 9    determine.   The  examination  of  applicants  shall  be of a
10    character to fairly test the qualifications of the  applicant
11    to practice orthotics, prosthetics or pedorthics.
12        Section 55.  Implementation of Act.
13        (a) Within 6 months after the effective date of this Act,
14    a  person practicing orthotics, prosthetics, or pedorthics or
15    representing  himself  or  herself  as  a   practitioner   of
16    orthotics, prosthetics, or pedorthics shall register with the
17    Department  on forms provided by the Department and shall pay
18    the appropriate registration fee.
19        (b) From one year after the effective date  of  this  Act
20    until January 1, 2001, no person shall engage in the practice
21    of orthotics, prosthetics, or pedorthics without a license or
22    certificate of registration.
23        (c)  Until  January  1,  2000,  a  person  certified as a
24    Certified Orthotist  (CO),  Certified  Prosthetist  (CP),  or
25    Certified  Prosthetist  Orthotist (CPO) by the American Board
26    for Certification in Prosthetics and Orthotics, Incorporated,
27    or holding  similar  certifications  from  other  accrediting
28    bodies   with   equivalent   educational   requirements   and
29    examination  standards  may  apply  for  and shall be granted
30    orthotic or prosthetic licensure under this Act upon  payment
31    of  the  required  fee.   After  that date, any applicant for
32    licensure as an orthotist or a  prosthetist  shall  meet  the
33    requirements of subsection (a) of Section 40 of this Act.
                            -15-               LRB9010628LDdv
 1        (d)  Until  January  1,  2000,  a  person  certified as a
 2    Certified Pedorthist (CPed) by the Board for Certification in
 3    Pedorthics, Incorporated or a person certified as a Certified
 4    Orthotist (CO) or Certified Prosthetist  Orthotist  (CPO)  by
 5    the  American  Board  for  Certification  in  Prosthetics and
 6    Orthotics, Incorporated, or  holding  similar  certifications
 7    from  other  accrediting  bodies  with equivalent educational
 8    requirements and examination  standards  may  apply  for  and
 9    shall  be  granted  pedorthic  licensure  under this Act upon
10    payment of the required fee.  After that date, any  applicant
11    for  licensure as a pedorthist shall meet the requirements of
12    subsection (b) of Section 40 of this Act.
13        (e) A person who does not  qualify  for  licensure  under
14    Section 40 or subsection (c) or (d) of this Section shall not
15    practice  orthotics,  prosthetics,  or  pedorthics  without a
16    certificate  of  registration.   Until  June  30,  1999,  the
17    Department  shall  issue  a   nonrenewable   certificate   of
18    registration to an applicant upon payment of a $500 fee.  The
19    certificate  of  registration  shall  automatically expire on
20    December 31, 2000.  A registrant issued a  certificate  under
21    this  subsection  (e)  shall  be  subject to the disciplinary
22    provisions of this Act in the same manner as a licensee.
23        (f) On and after  December  31,  2000,  no  person  shall
24    practice  orthotics, prosthetics, or pedorthics in this State
25    or hold himself or herself out  as  being  able  to  practice
26    either profession, unless he or she is licensed in accordance
27    with Section 40 of this Act.
28        (g)  Notwithstanding any other provision of this Section,
29    a person who has practiced full time for the past 7 years  in
30    a  prosthetic/orthotic facility as an orthotist, prosthetist,
31    prosthetist/orthotist,  assistant,  or  technician  or  in  a
32    pedorthic facility as a pedorthist or pedorthic technician on
33    the effective date of this Act may file an  application  with
34    the Board within 60 days after the effective date of this Act
                            -16-               LRB9010628LDdv
 1    in  order  to continue to practice orthotics, prosthetics, or
 2    pedorthics at his or her identified level of practice.    The
 3    applicant  shall  be  issued  a  license  or  certificate  of
 4    registration   to   practice   orthotics,   prosthetics,   or
 5    pedorthics   under   the   provisions  of  this  Act  without
 6    examination upon receipt by the Department of payment of  the
 7    licensing  or  registration  fee required under Section 70 of
 8    this Act and after the Board has completed  an  investigation
 9    of  the  applicant's work history.   The Board shall complete
10    its investigation for the purposes of this Section  within  6
11    months of the date of the application.  The investigation may
12    include,  but  is not limited to, completion by the applicant
13    of a questionnaire regarding the applicant's work history and
14    scope of practice.
15        Section 60.  Renewal; restoration; military service.
16        (a) The expiration  date  and  renewal  period  for  each
17    license  issued  under  this  Act shall be set by rule of the
18    Department. The Board shall  establish  continuing  education
19    requirements   for   the   renewal   of   a  license.   These
20    requirements shall  be  based  on  established  standards  of
21    competence.
22        (b)  A  person  who  has  permitted his or her license to
23    expire or who has had his or her license on  inactive  status
24    may   have   his  or  her  license  restored  by  (i)  making
25    application to the Department, (ii) filing  proof  acceptable
26    to  the  Department  of his or her fitness to have his or her
27    license  restored  including,  but  not  limited  to,   sworn
28    evidence   certifying   to   active   practice   in   another
29    jurisdiction satisfactory to the Department, and (iii) paying
30    the   required  restoration  fee.   If  the  person  has  not
31    maintained  an  active  practice  in   another   jurisdiction
32    satisfactory to the Department, the Board shall determine, by
33    an evaluation program established by rule, his or her fitness
                            -17-               LRB9010628LDdv
 1    to  resume  active  status  and  may  require  the  person to
 2    complete a period of evaluated clinical  experience  and  may
 3    require successful completion of an examination.
 4        (c)  A  person  whose license expired while he or she was
 5    (i) in federal service on active duty within the armed forces
 6    of the United States or with the State  militia  called  into
 7    service  or  training  or (ii) in training or education under
 8    the supervision of the United States preliminary to induction
 9    into military service may have his or her license renewed  or
10    restored  without  paying  a  lapsed renewal fee if, within 2
11    years  after  termination  from  the  service,  training,  or
12    education except under conditions other than honorable, he or
13    she furnished the Department with satisfactory evidence  that
14    he  or  she  has been so engaged and that his or her service,
15    training, or education has been terminated.
16        Section 65.  Elective  inactive  status.   A  person  who
17    notifies the Department in writing on forms prescribed by the
18    Department  may  elect  to  place  his  or  her license on an
19    inactive  status  and  shall,  subject  to   rules   of   the
20    Department,  be excused from payment of renewal fees until he
21    or she notifies the Department  in  writing  of  his  or  her
22    desire to resume active status.
23        A  person  requesting  restoration  from  inactive status
24    shall be required to pay the current renewal fee and shall be
25    required to restore his or her license as provided in Section
26    60 of this Act.
27        An orthotist, prosthetist, or pedorthist whose license is
28    on inactive status shall not practice orthotics, prosthetics,
29    or pedorthics in this State.
30        Section 70.    Endorsement; temporary license.
31        (a) The Department may, at  its  discretion,  license  as
32    either  an  orthotist,  prosthetist,  or  pedorthist, without
                            -18-               LRB9010628LDdv
 1    examination and on payment of the required fee, an  applicant
 2    who  is  an  orthotist, prosthetist, or pedorthist who is (i)
 3    licensed under the  laws  of  another  state,  territory,  or
 4    country,  if  the  requirements  for licensure in that state,
 5    territory, or country in which  the  applicant  was  licensed
 6    were,  at  the  date  of  his or her licensure, substantially
 7    equal to the requirements in force in this State on that date
 8    or (ii) certified by a  national  certification  organization
 9    with  educational  and  testing  standards  equal  to or more
10    stringent than the licensing requirements of this State.
11        (b) The Board may issue a temporary license to  a  person
12    who:
13             (1)  has  become a resident of this State within the
14        last 6 months or who has moved to  this  State  with  the
15        intent to fulfill residency requirements;
16             (2)  has  applied  for  a  license  as an orthotist,
17        prosthetist, or pedorthist; and
18             (3) has been licensed by a state of former residence
19        that  has  licensing  requirements  equal  to   or   more
20        stringent than the requirements of this Act.
21        A  temporary license shall be valid for one year from the
22    date of issuance  and may be  renewed  upon  presentation  of
23    good cause to the Board for up to one additional year.
24        Section 75.  Fees.
25        (a)  The  Department shall provide by rule for a schedule
26    of fees to be paid for licenses by all applicants.  All  fees
27    are not refundable.
28        (b)  The  fees  for the administration and enforcement of
29    this Act including, but not limited to,  original  licensure,
30    renewal,  and  restoration  shall  be  set  by  rule  by  the
31    Department.
32        (c)  All fees and fines collected under this Act shall be
33    deposited into the General Professions Dedicated Fund.
                            -19-               LRB9010628LDdv
 1        Section 80.  Roster of licensees  and  registrants.   The
 2    Department  shall  maintain a current roster of the names and
 3    addresses of all  licensees,  registrants,  and  all  persons
 4    whose  licenses  have  been  suspended  or revoked within the
 5    previous year.  This roster shall be available  upon  written
 6    request and payment of the required fee.
 7        Section  85.   Practice by corporations.  Nothing in this
 8    Act  shall  restrict  licensees  from  forming   professional
 9    service corporations under the provisions of the Professional
10    Service Corporation Act.
11        Section 90.  Grounds for discipline.
12        (a)  The  Department  may  refuse  to  issue  or  renew a
13    license, may revoke or suspend a  license,  or  may  suspend,
14    place  on probation, censure, or reprimand a licensee for one
15    or any combination of the following:
16             (1) Making a  material  misstatement  in  furnishing
17        information to the Department or the Board.
18             (2)   Violations  of  or  negligent  or  intentional
19        disregard of this Act or its rules.
20             (3) Conviction of any crime that under the  laws  of
21        the  United  States  or  of  a  state or territory of the
22        United States is a felony or a misdemeanor, an  essential
23        element  of  which  is  dishonesty, or of a crime that is
24        directly related to the practice of the profession.
25             (4) Making a misrepresentation for  the  purpose  of
26        obtaining a license.
27             (5) Professional incompetence.
28             (6) Malpractice.
29             (7)  Aiding or assisting another person in violating
30        a provision of this Act or its rules.
31             (8) Failing to provide information within 60 days in
32        response to a written request made by the Department.
                            -20-               LRB9010628LDdv
 1             (9)  Engaging   in   dishonorable,   unethical,   or
 2        unprofessional  conduct  or conduct of a character likely
 3        to deceive, defraud, or harm the public.
 4             (10) Habitual intoxication or addiction to  the  use
 5        of drugs.
 6             (11) Discipline by another state or territory of the
 7        United States, the federal government, or foreign nation,
 8        if  at least one of the grounds for the discipline is the
 9        same or substantially equivalent to one set forth in this
10        Section.
11             (12) Directly or indirectly giving to  or  receiving
12        from   a   person,  firm,  corporation,  partnership,  or
13        association a fee, commission, rebate, or other  form  of
14        compensation  for  professional  services not actually or
15        personally rendered.
16             (13) A finding by the Board  that  the  licensee  or
17        registrant,  after  having  his  or her license placed on
18        probationary status, has violated the terms of probation.
19             (14) Abandonment of a patient or client.
20             (15) Wilfully making  or  filing  false  records  or
21        reports in his or her practice including, but not limited
22        to,   false   records   filed   with  State  agencies  or
23        departments.
24             (16) Wilfully  failing  to  report  an  instance  of
25        suspected  child  abuse  or  neglect  as  required by the
26        Abused and Neglected Child Reporting Act.
27             (17) Physical illness including, but not limited to,
28        deterioration through the aging process or loss of  motor
29        skill  that  results  in  the  inability  to practice the
30        profession with reasonable judgement, skill, or safety.
31             (18) Solicitation  of  professional  services  using
32        false or misleading advertising.
33        (b)  The determination by a circuit court that a licensee
34    or registrant is subject to involuntary admission or judicial
                            -21-               LRB9010628LDdv
 1    admission, as provided in the Mental Health and Developmental
 2    Disabilities Code, operates as an automatic suspension.   The
 3    suspension  will  end only upon (i) a finding by a court that
 4    the patient is no longer subject to involuntary admission  or
 5    judicial  admission  and  the  issuance  of a court  order so
 6    finding  and   discharging   the   patient   and   (ii)   the
 7    recommendation of the Board to the Director that the licensee
 8    or registrant be allowed to resume his or her practice.
 9        Section 95.  Injunction; cease and desist order.
10        (a)  If  any person violates a provision of this Act, the
11    Director may, in the name of  the  People  of  the  State  of
12    Illinois  and  through  the  Attorney General of the State of
13    Illinois, petition for an order enjoining  the  violation  or
14    for  an  order  enforcing compliance with this Act.  Upon the
15    filing of a verified petition in court, the court may issue a
16    temporary restraining order, without notice or bond, and  may
17    preliminarily and permanently enjoin the violation.  If it is
18    established  that the person has violated or is violating the
19    injunction, the court may punish the offender for contempt of
20    court.  Proceedings under this Section shall be  in  addition
21    to,  and  not  in  lieu  of, all other remedies and penalties
22    provided by this Act.
23        (b) If a person practices as an  orthotist,  prosthetist,
24    or   pedorthist  or  holds  himself  or  herself  out  as  an
25    orthotist, prosthetist, or pedorthist without being  licensed
26    or  registered  under  the  provisions  of this Act, then any
27    other  licensed  or  registered  orthotist,  prosthetist,  or
28    pedorthist, any interested party, or any  person  injured  by
29    the  person  may,  in  addition to the Director, petition for
30    relief as provided in subsection (a) of this Section.
31        (c) Whenever in the opinion of the  Department  a  person
32    violates  a provision of this Act, the Department may issue a
33    rule to show cause why an order to cease  and  desist  should
                            -22-               LRB9010628LDdv
 1    not  be  entered  against him or her.  The rule shall clearly
 2    set forth the grounds relied upon by the Department and shall
 3    provide a period of 7 days from the date of the rule to  file
 4    an  answer to the satisfaction of the Department.  Failure to
 5    answer to the satisfaction of the Department shall  cause  an
 6    order to cease and desist to be issued immediately.
 7        Section  100.   Investigations;  notice and hearing.  The
 8    Department may investigate the actions of an applicant or  of
 9    a  person  or  persons holding or claiming to hold a license.
10    Before refusing to issue or renew a license,  the  Department
11    shall,  at  least  10  days  prior  to  the  date set for the
12    hearing, notify in writing the applicant for or holder  of  a
13    license  of the nature of the charges and that a hearing will
14    be held on the date designated.  The written  notice  may  be
15    served  by  personal  delivery  or by certified or registered
16    mail to the respondent at the address disclosed on his or her
17    last notification to the Department.  At the time  and  place
18    fixed  in  the  notice,  the  Board shall proceed to hear the
19    charges.  The parties or  their  counsel  shall  be  afforded
20    ample opportunity to present statements, testimony, evidence,
21    and  argument  that may be pertinent to the charges or to the
22    defense to the charges.  The Board may continue  the  hearing
23    from time to time.
24        Section  105.   Transcript.   The  Department, at its own
25    expense, shall preserve a record of all  proceedings  at  the
26    formal  hearing  of  a case involving the refusal to issue or
27    renew a license.  The notice of hearing, complaint,  and  all
28    other  documents  in  the  nature  of  pleadings  and written
29    motions  filed  in  the  proceedings,   the   transcript   of
30    testimony,  the  report  of  the  Board,  and  orders  of the
31    Department shall be in the record of the proceeding.
                            -23-               LRB9010628LDdv
 1        Section 110.  Compelling testimony.  A circuit court may,
 2    upon application of the Director or his or  her  designee  or
 3    the  applicant  or  licensee  against  whom proceedings under
 4    Section 100 of this Act are pending, enter an order requiring
 5    the attendance of witnesses and their testimony and requiring
 6    the  production  of  documents,  papers,  files,  books,  and
 7    records in connection with a hearing or  investigation.   The
 8    court  may  compel  obedience  to  its order through contempt
 9    proceedings.
10        Section 115. Board findings and recommendations.  At  the
11    conclusion  of  a  hearing,  the  Board  shall present to the
12    Director   a   written   report   of   its    findings    and
13    recommendations.   The  report  shall  contain  a  finding of
14    whether or not the accused person violated this Act or failed
15    to comply with the conditions required in  this  Act.     The
16    Board shall specify the nature of the violation or failure to
17    comply  and  shall  make its recommendations to the Director.
18    The report of findings and recommendations of the Board shall
19    be the basis for the Department's order for  the  refusal  or
20    for the granting of a license, unless the Director determines
21    that  the  Board report is contrary to the manifest weight of
22    the evidence, in which case the Director may issue  an  order
23    in contravention to the Board report.  A Board finding is not
24    admissible  in  evidence  against  the  person  in a criminal
25    prosecution brought for a violation  of  this  Act,  but  the
26    hearing  and  finding are not a bar to a criminal prosecution
27    brought for a violation of this Act.
28        Section  120.   Motion  for  rehearing.   In   any   case
29    involving  the  refusal  to  issue  or renew a license or the
30    discipline of a licensee, a copy of the Board's report  shall
31    be  served  upon  the  respondent  by  the Department, either
32    personally or as provided in this Act for the service of  the
                            -24-               LRB9010628LDdv
 1    notice  of  hearing.   Within  20  days  after  service,  the
 2    respondent  may present to the Department a motion in writing
 3    for a rehearing, which shall specify the  particular  grounds
 4    for  rehearing.   If  no  motion for rehearing is filed, then
 5    upon the expiration of the  time  specified  for  filing  the
 6    motion,  or  if  a  motion  for rehearing is denied, upon the
 7    denial, the Director may enter an order  in  accordance  with
 8    recommendations  of  the Board, except as provided in Section
 9    115 of this Act.  If the respondent orders from the reporting
10    service and pays for a transcript of the  record  within  the
11    time  for  filing  a  motion for rehearing, the 20-day period
12    within which the motion may be filed shall commence upon  the
13    delivery of the transcript to the respondent.
14        Section 125.    Rehearing on order of Director.  Whenever
15    the  Director  is  not satisfied that substantial justice has
16    been done in the revocation, suspension, or refusal to  issue
17    or  renew a license the Director may order a rehearing by the
18    same or other examiners.
19        Section  130.  Appointment  of  hearing   officer.    The
20    Director  shall  have  the  authority  to appoint an attorney
21    licensed to practice law in the State of Illinois to serve as
22    a hearing officer in an action for refusal to issue or  renew
23    a  license  or to discipline a licensee.  The hearing officer
24    shall have  full  authority  to  conduct  the  hearing.   The
25    hearing   officer  shall  report  his  or  her  findings  and
26    recommendations to the Board and the Director.     The  Board
27    shall  have  60 days from receipt of the report to review the
28    report of the hearing officer and  present  its  findings  of
29    fact,   conclusions   of  law,  and  recommendations  to  the
30    Director.  If the Board fails to present  its  report  within
31    the 60-day period, the Director shall issue an order based on
32    the   report  of  the  hearing  officer.    If  the  Director
                            -25-               LRB9010628LDdv
 1    determines  that  the  Board's  report  is  contrary  to  the
 2    manifest weight of the evidence, he or she may issue an order
 3    in contravention of the Board's report.
 4        Section 135. Order or certified  copy.   An  order  or  a
 5    certified  copy  of an order, over the seal of the Department
 6    and purporting to be signed by the Director, shall  be  prima
 7    facie proof:
 8        (1)  that  the  signature is the genuine signature of the
 9    Director;
10        (2) that the Director is duly  appointed  and  qualified;
11    and
12        (3) that the Board and its members are qualified to act.
13        Section   140.    Restoration  of  suspended  or  revoked
14    license.  At any time after the suspension or  revocation  of
15    any  license,  the  Department may restore the license to the
16    accused person upon the written recommendation of  the  Board
17    unless,  after  an  investigation  and  a  hearing, the Board
18    determines that restoration is not in the public interest.
19        Section 145.  Surrender of license.  Upon the  revocation
20    or  suspension  of  a license, the licensee shall immediately
21    surrender the license to the Department, and if the  licensee
22    fails  to do so, the Department shall have the right to seize
23    the license.
24        Section 150. Temporary  suspension  of  a  license.   The
25    Director may temporarily suspend the license of an orthotist,
26    prosthetist,  or  pedorthist without a hearing simultaneously
27    with the institution of proceedings for  a  hearing  provided
28    for  in  Section  95  of  this Act if the Director finds that
29    evidence in his or her possession indicates that a licensee's
30    continuation in practice would constitute an imminent  danger
                            -26-               LRB9010628LDdv
 1    to  the  public.   If  the  Director  temporarily  suspends a
 2    license without a hearing, a hearing by  the  Board  must  be
 3    held within 30 days after the suspension.
 4        Section  155.   Administrative  Review  Law;  venue.  All
 5    final administrative decisions of the Department are  subject
 6    to   judicial  review  pursuant  to  the  provisions  of  the
 7    Administrative  Review  Law  and   its   rules.    The   term
 8    "administrative  decision" has the same meaning as in Section
 9    3-101 of  the  Administrative  Review  Law.  Proceedings  for
10    judicial  review  shall  be commenced in the circuit court of
11    the county in which the party applying  for  review  resides,
12    but  if  the party is not a resident of this State, the venue
13    shall be in Sangamon County.
14        Section  160.  Certifications  of  record;  costs.    The
15    Department shall not be required to certify any record to the
16    Court  or file any answer in court or otherwise appear in any
17    court in a judicial review proceeding unless there  is  filed
18    in the court with the complaint a receipt from the Department
19    acknowledging   payment   of  the  costs  of  furnishing  and
20    certifying the record, which shall be computed at the rate of
21    20 cents per page of the record.  Failure on the  part  of  a
22    plaintiff  to  file  a  receipt in court shall be grounds for
23    dismissal of the action.
24        Section 165.  Penalties.  A person who is found  to  have
25    violated  a  provision  of  this  Act  is guilty of a Class A
26    misdemeanor for a first offense and is guilty of  a  Class  4
27    felony for a second or subsequent offense.
28        Section 170.  Illinois Administrative Procedure Act.  The
29    Illinois  Administrative  Procedure  Act  is hereby expressly
30    adopted and incorporated  in  this  Act  as  if  all  of  the
                            -27-               LRB9010628LDdv
 1    provisions of that Act were included in this Act, except that
 2    the  provision  of  subsection  (d)  of  Section 10-65 of the
 3    Illinois Administrative Procedure Act, which provides that at
 4    hearings the licensee has the right to show  compliance  with
 5    all  lawful  requirements  for  retention,  continuation,  or
 6    renewal  of  the  license,  is  specifically excluded and for
 7    purposes of this Act.   The  notice  required  under  Section
 8    10-25  of the Illinois Administrative Procedure Act is deemed
 9    sufficient when mailed to the last known address of a party.
10        Section 175.  Home rule preemption.  It is declared to be
11    the public policy of this State, pursuant to paragraph (h) of
12    Section 6 of Article VII of the Illinois Constitution of 1970
13    that a power  or  function  set  forth  in  this  Act  to  be
14    exercised  by  the  State  is  an  exclusive  State  power or
15    function.  No power or function granted under this Act  shall
16    be  exercised concurrently, either directly or indirectly, by
17    a unit of local government, including home rule units, except
18    as otherwise provided in this Act.
19        Section 250.  The Regulatory Agency Sunset Act is amended
20    by adding Section 4.19 as follows:
21        (5 ILCS 80/4.19 new)
22        Sec. 4.19. Act repealed on January 1, 2009. The following
23    Act is repealed on January 1, 2009:
24        The  Illinois  Orthotics,  Prosthetics,  and   Pedorthics
25    Practice Act.
26        Section  999.   Effective date.  This Act takes effect on
27    January 1, 1999.

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